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Peter Wehrwein has been the lead editor of Managed Healthcare Executive since February 2020.

Videos

Andel, principal of CommonHealth Solutions LLC, weighed in on potential strategies and challenges for Part D plans in navigating medication formulary limitations during catastrophic coverage phases in this second part of a two-part video series.

Melissa Andel Gives Insights on Potential Changes to Part D Formularies | AMCP 2024

Articles

One result of the Inflation Reduction Act shifting a greater proportion the cost of drugs during the catastrophic phase of coverage to the Part D plans result may be narrower formularies.

IRA Will Shift Cost Burn to Part D Plans in 2025, Says Melissa Andel | AMCP 2024

Adam Colborn outlined four trends in state-level action on pharmacy benefit managers (PBMs) and drugs in an interview prior to this presentation at the annual meeting of Academy of Managed Care Pharmacy (AMCP) today.

It's Not Just Congress. There's Plenty of State-Level Action on PBMs, Drug Costs and Prices | AMCP 2024

Psychiatrists and psychologists also had lower in-network reimbursement rates.

Out-of-Network Use 10 Times Higher for Psychological Care vs. Medical Care APA-Funded Study Finds

Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, insights, and strategies to pursue value-driven solutions.

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How CenterWell Senior Primary Care has Adapted to the Changing Business Landscape and Evolving Consumer Needs

Reneé Buckingham, President, Humana’s Primary Care Organization

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